Individual provider Active NPI

Lorrie Leach, ASSOCIATES

  • Physical Rehabilitation Occupational Therapist
  • Fort Edward, NY
National Provider Identifier
1144732546
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
006023-1 Issued in NY
Practice address
220 Broadway
Fort Edward, NY 12828-1502
Phone
(518) 899-9235
Fax
(518) 899-9315
NPI assigned
Oct 26, 2017
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 006023-1 NY Primary

Addresses

Primary practice location

220 Broadway
Fort Edward, NY 12828-1502

Mailing address

23 Sitterly Rd
Halfmoon, NY 12065-5613
Phone (518) 899-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006023-1NYMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newmeadow, Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

23 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 899-9235

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1144732546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SITTERLY RD",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655613",
            "telephone_number": "518-899-9235",
            "fax_number": "518-899-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROADWAY",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281502",
            "telephone_number": "518-899-9235",
            "fax_number": "518-899-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "LORRIE",
        "credential": "ASSOCIATES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "006023-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Edward, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.